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JACOB ERICKSON MT-BC
NPI 1942673181
Counselor - Mental Health in Saint Louis, MO

Active since November 10, 2015
4220 N GRAND BLVD, SAINT LOUIS, MO 63107(314) 534-6624 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Erickson Mt-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ERICKSON MT-BC (NPI 1942673181) is an individual mental health provider in Saint Louis, Missouri and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1942673181
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB ERICKSONCredential: MT-BC
Location Address4220 N GRAND BLVDSaint Louis, MO 63107-1831
Mailing Address4220 N Grand BlvdSaint Louis, MO 63107-1831
Phone(314) 534-6624
Sole ProprietorYes
Enumeration DateNovember 10, 2015
✔ NPI 1942673181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4220 N GRAND BLVD, Saint Louis, MO 63107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIKA JACKSON-ESSIEM
Case Manager/Care Coordinator
4220 N GRAND BLVD
SAINT LOUIS, MO 63107
St. Louis City (314) 534-6624
CARL REED
Case Manager/Care Coordinator
4220 N GRAND BLVD
SAINT LOUIS, MO 63107
St. Louis City (314) 534-6624
TIA C BOOKER BSW
Social Worker
4220 N GRAND BLVD
SAINT LOUIS, MO 63107
St. Louis City (314) 534-6624
LAWANDA WALLACE
Case Manager/Care Coordinator
4220 N GRAND BLVD
SAINT LOUIS, MO 63107
St. Louis City (314) 534-6624
MR. WILLIAM BRIGGS
Counselor
4220 N GRAND BLVD
SAINT LOUIS, MO 63107
St. Louis City (314) 534-6624
DANYELLE BANKS
Case Manager/Care Coordinator
4220 N GRAND BLVD
SAINT LOUIS, MO 63107
St. Louis City (314) 534-6624
LEE FARHAT RN
Registered Nurse
4220 N GRAND BLVD
SAINT LOUIS, MO 63107
St. Louis City (314) 534-6624
MS. MOIRA K THOMPSON
Counselor (Mental Health)
4220 N GRAND BLVD
SAINT LOUIS, MO 63107
St. Louis City (314) 534-6624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Erickson's NPI number?

The NPI number for Jacob Erickson is 1942673181. It was assigned to this individual provider in the NPPES registry on November 10, 2015.

Where is Jacob Erickson located?

Jacob Erickson practices at 4220 N Grand Blvd, Saint Louis, MO 63107. The listed phone number is (314) 534-6624.

What is Jacob Erickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacob Erickson was last updated on November 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.